比较横膈膜呼吸运动、容积和流量刺激肺活量测定法对腹腔镜手术患者横膈膜偏移和肺功能的影响:一项随机对照试验。

IF 1.3 Q3 SURGERY
Minimally Invasive Surgery Pub Date : 2016-01-01 Epub Date: 2016-07-21 DOI:10.1155/2016/1967532
Gopala Krishna Alaparthi, Alfred Joseph Augustine, R Anand, Ajith Mahale
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引用次数: 51

摘要

目标。目的:评价横膈膜呼吸练习和以流量和容量为导向的刺激肺活量测定法对腹腔镜腹部手术患者肺功能和横膈膜漂移的影响。方法。我们选择了260例进行腹腔镜腹部手术的患者,他们被随机分组如下:65例患者进行横膈膜呼吸练习,65例患者进行流量刺激肺活量测定,65例患者进行容积刺激肺活量测定,65例患者作为对照组。术前及术后第1、2天均行超声测量肺活量(FVC)、第一秒用力呼气量(FEV1)、呼气峰值流速(PEFR)及膈肌偏移测量,评价肺功能。显著性水平为p < 0.05。结果。四组患者术后第一天肺功能和横膈膜偏移均显著降低(p < 0.001),但对照组明显高于实验组。术后第2天,容积刺激肺活量组和膈呼吸运动组肺功能(用力肺活量)和膈肌漂移比流量刺激肺活量组和对照组保存得更好。肺功能(用力肺活量)和横膈膜漂移在容积刺激肺活量组和膈呼吸运动组与流量刺激肺活量组和对照组比较有统计学意义(p < 0.05)。结论。容积激励肺活量测定法和膈肌呼吸运动可作为所有患者术前和术后的干预措施,超血流导向激励肺活量测定法可用于肺功能的产生和维持,膈肌漂移可用于腹腔镜腹部手术的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial.

Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial.

Objective. To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented incentive spirometry on pulmonary function and diaphragm excursion in patients undergoing laparoscopic abdominal surgery. Methodology. We selected 260 patients posted for laparoscopic abdominal surgery and they were block randomization as follows: 65 patients performed diaphragmatic breathing exercises, 65 patients performed flow incentive spirometry, 65 patients performed volume incentive spirometry, and 65 patients participated as a control group. All of them underwent evaluation of pulmonary function with measurement of Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Peak Expiratory Flow Rate (PEFR), and diaphragm excursion measurement by ultrasonography before the operation and on the first and second postoperative days. With the level of significance set at p < 0.05. Results. Pulmonary function and diaphragm excursion showed a significant decrease on the first postoperative day in all four groups (p < 0.001) but was evident more in the control group than in the experimental groups. On the second postoperative day pulmonary function (Forced Vital Capacity) and diaphragm excursion were found to be better preserved in volume incentive spirometry and diaphragmatic breathing exercise group than in the flow incentive spirometry group and the control group. Pulmonary function (Forced Vital Capacity) and diaphragm excursion showed statistically significant differences between volume incentive spirometry and diaphragmatic breathing exercise group (p < 0.05) as compared to that flow incentive spirometry group and the control group. Conclusion. Volume incentive spirometry and diaphragmatic breathing exercise can be recommended as an intervention for all patients pre- and postoperatively, over flow-oriented incentive spirometry for the generation and sustenance of pulmonary function and diaphragm excursion in the management of laparoscopic abdominal surgery.

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CiteScore
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自引率
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审稿时长
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